Imaging prices at HCA Florida Raulerson Hospital

Okeechobee, FL · every code in this section with a posted price and a Medicare benchmark.

263 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Abdomen 2 views (74019) $1,843 $1,843 16.9×
Acute gi blood loss imaging (78278) $5,408 $5,408 13.0×
Acute venous thrombosis imaging, peptide Non-Facility (78456) $10,051 $10,051 7.4×
Angiography extremity bilateral rs&i (75716) $2,673 $2,673 0.8×
Angiography extremity unilateral rs&i (75710) $2,673 $2,673 0.8×
Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) $1,804 $1,804 0.5×
Ankle 2 views (73600) $1,340 $1,340 14.7×
Aortography abdominal serialography rs&i (75625) $2,673 $2,673 0.8×
Arthrogram ankle (73615) $3,532 $3,532 9.7×
Arthrogram elbow (73085) $3,532 $3,532 9.7×
Arthrogram hip (73525) $3,532 $3,532 9.7×
Arthrogram knee (73580) $3,403 $3,403 9.3×
Arthrogram shoulder (73040) $3,532 $3,532 9.7×
Arthrogram wrist (73115) $3,532 $3,532 9.7×
Bone &/Joint Imaging Limited Area (78300) $6,112 $6,112 14.6×
Bone &/joint imaging whole body (78306) $10,041 $10,041 24.1×
Bone age studies (77072) $1,643 $1,643 15.0×
Bone Imaging 3 Phase (78315) $11,117 $11,117 26.6×
Bone survey complete (77075) $3,083 $3,083 28.2×
Bone survey infant (77076) $2,806 $2,806 25.7×
Bowel imaging (78290) $6,669 $6,669 16.0×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $1,873 $1,873 3.3×
Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) $6,825 $6,825 16.3×
Cardiac shunt detection (78428) $5,282 $5,282 12.7×
Cervical spine 2 or 3 views (72040) $1,646 $1,646 18.1×
Chest 1 view (71045) $1,053 $1,053 11.6×
Chest xray 3 views (71047) $2,214 $2,214 24.4×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $1,713 $1,713 9.4×
Clavicle complete (73000) $1,518 $1,518 16.7×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $6,749 $6,749 61.8×
CT abdomen and pelvis without and with contrast (74178) $23,351 $23,351 64.1×
CT abdomen and pelvis without contrast (74176) $18,870 $18,870 75.7×
CT abdomen w contrast (74160) $10,545 $10,545 57.6×
CT abdomen w wo contrast (74170) $11,308 $11,308 61.7×
CT abdomen w/o contrast (74150) $9,208 $9,208 84.3×
CT angio hrt w/3d image (75574) $18,976 $18,976 52.1×
CT angio lwr extr w/o&w/dye (73706) $13,777 $13,777 75.2×
CT angiography upper extremity lt (73206) $12,420 $12,420 67.8×
CT c-spine w/contrast (72126) $9,859 $9,859 27.1×
CT c-spine w/o contrast (72125) $9,571 $9,571 87.7×
CT cervical spine w&w/o contrast (72127) $12,094 $12,094 66.0×
CT chest w contrast (71260) $9,640 $9,640 52.6×
CT chest w/wo contrast (71270) $11,105 $11,105 60.6×
CT head/brain with contrast (70460) $8,484 $8,484 46.3×
CT head/brain without and with contrast (70470) $9,091 $9,091 49.6×
CT heart contrast eval cardiac structure&morph (75572) $18,298 $18,298 50.2×
CT heart w/o contrast quant eval coronary calcium (75571) $24,886 $24,886 273.8×
CT iac w contrast (70481) $9,516 $9,516 52.0×
CT limited/localized follow up study (76380) $5,815 $5,815 64.0×
CT lower ext w/o (73700) $8,817 $8,817 80.8×
CT lower extremity w wo contrast (73702) $11,308 $11,308 61.7×
CT lower extremity w/contrast material (73701) $10,231 $10,231 55.9×
CT lumbar spine w & w/o contrast (72133) $12,041 $12,041 65.7×
CT lumbar spine w/contrast (72132) $10,260 $10,260 28.2×
CT lumbar spine w/o contrast (72131) $8,425 $8,425 77.2×
CT maxillofacial w contrast (70487) $9,343 $9,343 51.0×
CT maxillofacial w/wo contrast (70488) $9,952 $9,952 54.3×
CT maxillofacial wo contrast (70486) $9,489 $9,489 86.9×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $10,152 $10,152 55.4×
CT orbits w/o contrast (70480) $8,145 $8,145 74.6×
CT pelvis w/o contrast (72192) $9,665 $9,665 88.5×
CT pelvis w/wo contrast (72194) $12,041 $12,041 65.7×
CT scan of arm combo (73202) $9,952 $9,952 54.3×
CT soft tissue neck w contrast (70491) $9,854 $9,854 53.8×
CT soft tissue neck w/o & w/contrast material (70492) $10,942 $10,942 59.7×
CT soft tissue neck w/o contrast (70490) $9,571 $9,571 87.7×
CT thoracic spine w/contrast (72129) $8,484 $8,484 46.3×
CT thoracic spine w/o contrast (72128) $9,631 $9,631 88.2×
CT thoracic spine w/wo contrast (72130) $11,149 $11,149 60.9×
CT thorax w/o contrast (71250) $8,456 $8,456 77.5×
CT upper ext wo (73200) $7,810 $7,810 71.5×
CT upper extremity with contrast (73201) $8,992 $8,992 24.7×
Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) $25,025 $25,025 136.6×
Cta Abdomen (74175) $13,777 $13,777 75.2×
CTA abdomen pelvis (74174) $21,621 $21,621 59.3×
CTA chest (71275) $13,573 $13,573 74.1×
Cta Head (70496) $11,555 $11,555 63.1×
Cta Neck (70498) $13,413 $13,413 73.2×
Cta Pelvis (72191) $14,506 $14,506 79.2×
Cystography minimum 3 views rs&i (74430) $2,038 $2,038 5.6×
Dilation of ureter(s) or urethra, radiological supervision and interpretation Non-Facility (74485) $6,971 $6,971 3.2×
Dxa bone density study 1/> sites axial skel (77080) $429 $429 3.9×
Dxa bone density study 1/>sites appendiclr skel (77081) $429 $429 4.7×
Esophagus (74220) $2,455 $2,455 13.4×
Facial bones min 3 views (70150) $1,298 $1,298 11.9×
Fetal biophysical profile non-stress testing (76818) $3,592 $3,592 32.9×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $3,369 $3,369 30.9×
Fluoroscopy up to 1 hr (76000) $2,052 $2,052 8.2×
Foot 2 views (73620) $1,293 $1,293 14.2×
Forearm 2 views (73090) $1,646 $1,646 18.1×
Hand 2 views (73120) $1,281 $1,281 11.7×
Heart Infarct Image (78466) $6,053 $6,053 14.5×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $10,014 $10,014 17.7×
Hepatobiliary syst imaging including gallbladder (78226) $7,514 $7,514 18.0×
Hysterosalpingogram (74740) $2,215 $2,215 8.9×
Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) $7,498 $7,498 13.2×
Kidney img morphology vascular flow 1 w/rx (78708) $9,810 $9,810 17.3×
Knee 3 views (73562) $1,097 $1,097 12.1×
Liver & spleen imaging static only (78215) $6,825 $6,825 16.3×
Lung perfusion differential (78597) $2,308 $2,308 5.5×
Lung ventilation imaging (78579) $6,486 $6,486 15.5×
Lymphoscintigraphy (78195) $2,850 $2,850 5.0×
Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) $9,987 $9,987 12.2×
Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) $10,460 $10,460 28.7×
Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) $11,395 $11,395 31.3×
Mammary ductogram or galactogram multiple (77054) $7,582 $7,582 30.4×
Mammary ductogram or galactogram single (77053) $5,418 $5,418 21.7×
MRA head w & w/o contrast (70546) $12,857 $12,857 35.3×
MRA head w/o contrast (70544) $5,576 $5,576 22.4×
MRA head with contrast (70545) $11,620 $11,620 31.9×
MRA neck w contrast (70548) $3,671 $3,671 10.1×
Mra Neck W/O &W/Contrast Material (70549) $6,302 $6,302 17.3×
MRA neck w/o contrast (70547) $5,576 $5,576 22.4×
MRI abdomen w contrast (74182) $8,218 $8,218 22.6×
MRI abdomen w/o & w/contrast material (74183) $14,217 $14,217 39.0×
MRI abdomen w/o contrast (74181) $8,780 $8,780 35.2×
MRI any jt lower extrem w/contrast material (73722) $10,786 $10,786 13.2×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $13,372 $13,372 36.7×
MRI breast w/o contrast bilateral (77047) $8,380 $8,380 33.6×
MRI c-spine with contrast (72142) $14,413 $14,413 39.6×
MRI cervical spine w/o contrast (72141) $11,666 $11,666 46.8×
MRI chest w/o & w/contrast material (71552) $13,787 $13,787 37.8×
MRI chest w/o contrast (71550) $9,048 $9,048 36.3×
MRI chest with contrast (71551) $8,380 $8,380 10.2×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $10,315 $10,315 28.3×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $10,813 $10,813 29.7×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $10,315 $10,315 41.4×
MRI orbit face &/neck w/o contrast (70540) $11,372 $11,372 45.6×
MRI orbit/face/neck w&w/o cont (70543) $13,787 $13,787 37.8×
MRI pelvis w/o & w/contrast material (72197) $13,787 $13,787 37.8×
MRI pelvis w/o contrast (72195) $8,780 $8,780 35.2×
MRI spinal canal cervical w/o & w/contr matrl (72156) $14,803 $14,803 40.6×
MRI spinal canal lumbar w/contrast material (72149) $14,326 $14,326 39.3×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $15,187 $15,187 41.7×
MRI spinal canal thoracic w/contrast matrl (72147) $13,617 $13,617 37.4×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $15,405 $15,405 42.3×
MRI temporomandibular joint (70336) $9,503 $9,503 38.1×
MRI thoracic spine w/o contrast (72146) $11,143 $11,143 44.7×
MRI up ext w/o contrast (73218) $15,685 $15,685 62.9×
MRI upper ext joint w/o contrast (73221) $10,729 $10,729 43.1×
MRI, joint upper extrem combo (73223) $13,372 $13,372 36.7×
Myelogram Cervical (72240) $9,340 $9,340 11.4×
Myelogram Lumbar (72265) $9,340 $9,340 11.4×
Myelogram thoracic (72255) $9,340 $9,340 11.4×
Myelography 2 or more regions (72270) $12,451 $12,451 15.2×
Myocardial infarct spect (78469) $6,053 $6,053 10.7×
Myocardial Spect Multiple Studies (78452) $19,549 $19,549 14.5×
Myocardial spect single study at rest or stress (78451) $16,467 $16,467 12.2×
Neck soft tissue (70360) $1,512 $1,512 16.6×
Nm gastric emptying study (78264) $5,529 $5,529 13.2×
Noncardiac Vascular Flow Imaging (78445) $1,563 $1,563 3.7×
Nonvascular shunt X-ray (75809) $1,847 $1,847 16.9×
Nuclear medicine study to assess blood clot in vein of both sides (78458) $3,516 $3,516 8.4×
Ob us nuchal meas 1 gest (76813) $2,362 $2,362 21.6×
Parathyroid Planar Imaging (78070) $2,637 $2,637 6.3×
Pelvis 1 or 2 views (72170) $1,670 $1,670 15.3×
Pulmonary Perfusion Imaging Particulate (78580) $6,004 $6,004 14.4×
Pulmonary Ventilation & Perfusion Imaging (78582) $12,507 $12,507 22.1×
Radex abscess/fistula/sinus tract rs&i (76080) $2,188 $2,188 3.8×
Radex Ankle Compl Minimum 3 Views (73610) $1,713 $1,713 18.8×
Radex Calcaneus Minimum 2 Views (73650) $1,520 $1,520 16.7×
Radex Elbw Compl Minimum 3 Views (73080) $1,746 $1,746 19.2×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $1,371 $1,371 15.1×
Radex fingr minimum 2 views (73140) $1,479 $1,479 16.3×
Radex Foot Compl Minimum 3 Views (73630) $1,646 $1,646 18.1×
Radex Hand Minimum 3 Views (73130) $1,579 $1,579 17.4×
Radex Hip Unilateral With Pelvis 1 View (73501) $2,890 $2,890 31.8×
Radex Hips Bilateral With Pelvis 2 Views (73521) $3,457 $3,457 31.7×
Radex Humerus Minimum 2 Views (73060) $1,523 $1,523 16.8×
Radex Kne 1/2 Views (73560) $1,382 $1,382 15.2×
Radex Kne Compl 4/More Views (73564) $1,731 $1,731 15.9×
Radex Mndbl Compl Minimum 4 Views (70110) $1,431 $1,431 13.1×
Radex Nasal Bones Complete Minimum 3 Views (70160) $1,717 $1,717 18.9×
Radex Sho Compl Minimum 2 Views (73030) $1,746 $1,746 19.2×
Radex Spine Lumbosacral Only Bending 2/3 Views (72120) $2,118 $2,118 19.4×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $1,611 $1,611 17.7×
Radex Toe Minimum 2 Views (73660) $1,293 $1,293 14.2×
Radex upper extremity infant minimum 2 views (73092) $1,618 $1,618 14.8×
Radex Wrst Compl Minimum 3 Views (73110) $1,518 $1,518 16.7×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $7,649 $7,649 70.1×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $1,340 $1,340 14.7×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $1,843 $1,843 16.9×
Radiologic exam chest 2 views (71046) $1,547 $1,547 17.0×
Radiologic exam colon single contrast study (74270) $3,068 $3,068 16.7×
Radiologic Exam Esophagus Double Contrast Study (74221) $2,455 $2,455 13.4×
Radiologic exam upr gi trc double contrast study (74246) $3,710 $3,710 20.3×
Radiologic exam upr gi trc single contrast study (74240) $3,710 $3,710 20.3×
Radiologic examination tibia & fibula 2 views (73590) $1,753 $1,753 19.3×
Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) $2,455 $2,455 22.5×
Radiological examination surgical specimen (76098) $396 $396 0.7×
Renal Cyst Study (74470) $1,357 $1,357 2.4×
Ribs bilateral 3 views (71110) $2,505 $2,505 22.9×
Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) $2,850 $2,850 6.8×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $5,034 $5,034 12.1×
Rp loclzj tum spect 1 area single day imaging (78803) $8,142 $8,142 14.4×
Salivary gland imaging; with serial images Non-Facility (78231) $1,765 $1,765 4.2×
Scapula (73010) $1,698 $1,698 15.6×
Screening Digital Breast Tomosynthesis Bi (77063) $99 $99 4.2×
Shoulder 1 view (73020) $1,471 $1,471 16.2×
Small bowel series (74250) $3,231 $3,231 17.6×
Spine thoracic 3 views (72072) $1,861 $1,861 17.0×
Testicular Imaging With Vascular Flow (78761) $6,110 $6,110 14.6×
Thoracolumbar 2 views (72080) $1,945 $1,945 21.4×
Thyroid imaging w/blood flow (78013) $4,802 $4,802 11.5×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $7,255 $7,255 17.4×
Tomogram (76100) $4,459 $4,459 40.8×
Ultrasound breast complete (76641) $1,262 $1,262 11.6×
Ultrasound, abdomen limited (76705) $3,590 $3,590 32.9×
Umbilical-artery Doppler (OB) (76820) $3,820 $3,820 35.0×
Unlisted ultrasound procedure (76999) $1,574 $1,574 17.3×
Ureteral reflux study (78740) $3,248 $3,248 7.8×
Urethrocystogram voiding (74455) $2,520 $2,520 10.1×
Urethrocystography retrograde rs&i (74450) $2,038 $2,038 8.2×
Urography, infusion, drip technique and/or bolus technique; Non-Facility (74410) $2,188 $2,188 11.9×
Urography, infusion, drip technique and/or bolus technique; with nephrotomography Non-Facility (74415) $3,760 $3,760 20.5×
Us breast unilateral limited (76642) $1,262 $1,262 13.9×
Us chest (76604) $2,913 $2,913 26.7×
Us hips infant static (76886) $2,404 $2,404 26.5×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $1,037 $1,037 9.5×
Us ob detailed single fetus (76811) $3,258 $3,258 13.1×
Us ob limited (76815) $2,571 $2,571 23.6×
Us ob transvaginal (76817) $3,258 $3,258 29.8×
Us pelvic non ob complete (76856) $3,599 $3,599 33.0×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $1,480 $1,480 13.6×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $3,258 $3,258 29.8×
Us pg uter r-t img f-up tabdl appr pr fetus (76816) $2,362 $2,362 21.6×
Us retroperitoneal complete (76770) $3,231 $3,231 29.6×
Us retroperitoneal limited (76775) $3,254 $3,254 29.8×
Us scrotum and contents (76870) $3,167 $3,167 29.0×
Us soft tissue head/neck (76536) $3,385 $3,385 31.0×
Us spinal canal and contents (76800) $3,173 $3,173 29.1×
Venogram Extremity Unilateral (75820) $2,406 $2,406 1.5×
Wrist 2 views (73100) $1,242 $1,242 13.7×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $1,242 $1,242 13.7×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $3,926 $3,926 21.4×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $1,358 $1,358 14.9×
X-Ray Exam Hip Uni 2-3 Views (73502) $3,332 $3,332 36.7×
X-ray exam of femur 2/> (73552) $1,731 $1,731 19.0×
X-ray eye for foreign body (70030) $1,046 $1,046 11.5×
X-ray leg, infant (73592) $1,643 $1,643 18.1×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $1,960 $1,960 18.0×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $3,762 $3,762 34.5×
X-ray nose-rectum child f.b. (76010) $1,219 $1,219 13.4×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $2,338 $2,338 21.4×
X-ray retrograde pyelogram (74420) $2,807 $2,807 7.7×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $1,871 $1,871 20.6×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $2,119 $2,119 19.4×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $3,579 $3,579 32.8×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $1,785 $1,785 16.4×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $1,785 $1,785 19.6×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $2,493 $2,493 27.4×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $2,686 $2,686 24.6×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $1,487 $1,487 13.6×
X-Ray Small Bowel Enteroclysis (74251) $3,231 $3,231 17.6×
X-Ray Spine One View - Xr Spine (72020) $1,646 $1,646 18.1×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $957 $957 10.5×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $1,885 $1,885 20.7×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $1,751 $1,751 16.0×
Xr bone length studies (77073) $2,652 $2,652 24.3×
Xr c-spine 4 or 5 views (72050) $2,192 $2,192 20.1×
Xr c-spine 6 or more views (72052) $2,520 $2,520 23.1×
Xr chest 4+ views (71048) $2,247 $2,247 20.6×
Xr urogram antegrade (74425) $4,353 $4,353 11.9×